PERMALLA DENTAL CARE
NPI 1356654594
Dentist - General Practice in Petaluma, CA

Active since July 16, 2010
855 LAKEVILLE ST, SUITE 101, PETALUMA, CA 94952(707) 773-1234 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About PERMALLA DENTAL CARE

This page provides the complete NPI Profile along with additional information for Permalla Dental Care, a provider established in Petaluma, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1356654594 assigned on July 2010. The practitioner's primary taxonomy code is 1223G0001X with license number 54953 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Permalla Dental Care. The authorized official of this NPI record is Dr. Praveena Permalla Dds (President)

NPI
1356654594 Verify this NPI
Provider Legal Name
PRAVEENA PERMALLA, DDS, INC
Other Organization Name
PERMALLA DENTAL CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
855 LAKEVILLE ST SUITE 101 PETALUMA, CA 94952
Location Phone
(707) 773-1234
Mailing Address
855 LAKEVILLE ST SUITE 101 PETALUMA, CA 94952
Mailing Phone
(707) 773-1234
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2010
Last Update Date
07-16-2010
Code Navigator

A dentist like Permalla Dental Care is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
54953
License State
CA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PRAVEENA PERMALLA DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(707) 773-1234

Reviews for PERMALLA DENTAL CARE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
855 LAKEVILLE ST, SUITE 101
PETALUMA, CA 94952
Optometrist
855 LAKEVILLE ST, SUITE 102
PETALUMA, CA 94952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356654594, enumerated as an "organization" on July 16, 2010.

The provider is located at 855 LAKEVILLE ST SUITE 101 PETALUMA, CA 94952 and the phone number is (707) 773-1234.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.